Kenaitze Indian Tribe
A Medicare group practice based in Soldotna, AK: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 4082506225), with 40 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 4082506225
- Provider type
- Part A Provider - Indian Health Services Facility, Part B Supplier - Clinic/Group Practice
- Enrolled in
- AK
- Enrollments
- 2
- Group size
- 29 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 4
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20040325000198 | AK | Part B Supplier - Clinic/Group Practice | 1932114600 |
| O20200127000403 | AK | Part A Provider - Indian Health Services Facility | 1932114600 |
NPIs in this group 4
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Kenaitze Indian Tribe
- Federally Qualified Health Center (FQHC)
- Kenai, AK
- NPI 1932114600
-
Kenaitze Indian Tribe
- Federally Qualified Health Center (FQHC)
- Soldotna, AK
- NPI 1194603076
-
Kenaitze Indian Tribe
- Federally Qualified Health Center (FQHC)
- Kenai, AK
- NPI 1295972677
-
Kenaitze Indian Tribe
- Community/Behavioral Health Agency
- Kenai, AK
- NPI 1699986687
Practice locations
- Kenai, AK2
- Soldotna, AK2
Clinicians 40
Clinicians who reassign their Medicare benefits to this group (40) or whom Care Compare lists as members (29).
-
Miles Ferdi Ardaman, M.D.
- Psychiatry Physician
- Thief River Falls, MN
- NPI 1831142702
-
Mary M Bassir, PSYD
- Psychologist
- Kenai, AK
- NPI 1700449048
-
Stephan Max Becker, M.D.
- Psychiatry Physician
- Cleveland, TN
- NPI 1063678795
-
Christopher Bowers
- Physical Therapist
- Kenai, AK
- NPI 1720411572
-
James Bozeman, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Grand Forks, ND
- NPI 1134004898
-
Joseph J. Cannava, MS,LPCS, CDCS
- Mental Health Counselor
- Kenai, AK
- NPI 1821180456
-
Deborah H. Chambless
- Family Nurse Practitioner
- Maitland, FL
- NPI 1962809061
-
Emelia Conaty
- Psychiatric/Mental Health Nurse Practitioner
- Charleston, WV
- NPI 1144078486
-
Lacy Daniel, LPC
- Professional Counselor
- Kenai, AK
- NPI 1780193599
-
Jessica Duke
- Speech-Language Pathologist
- Kenai, AK
- NPI 1639775315
-
Chelsea Eisenberg, DO
- Family Medicine Physician
- Perkins, OK
- NPI 1215559919
-
Jeremy Craig Francis, MD
- Psychiatry Physician
- Kenai, AK
- NPI 1992881338
-
Lisa Frederickson, O.D.
- Optometrist
- Kenai, AK
- NPI 1972696722
-
Fridrik Rafn Gudmundsson, L.C.S.W.
- Clinical Social Worker
- Kenai, AK
- NPI 1831531037
-
Molly Christine Hamilton, MD
- Family Medicine Physician
- Eden, NC
- NPI 1346860848
-
Lindsey Johanning, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Grand Forks, ND
- NPI 1649055195
-
Kristen Aili Johnson, PMHNP-BC, FNP-C
- Psychiatric/Mental Health Nurse Practitioner
- Grand Forks, ND
- NPI 1629679782
-
Patricia Rose Kendrick, FNP-C
- Family Nurse Practitioner
- Kenai, AK
- NPI 1679693204
-
Jason Mark Larsen, O.D.
- Optometrist
- Kenai, AK
- NPI 1407895964
-
Noah Leaf, PT, DPT
- Orthopedic Physical Therapist
- Kenai, AK
- NPI 1932079464
-
Karrie Martin, APRN
- Family Nurse Practitioner
- Grand Ronde, OR
- NPI 1649624404
-
Karey Mewbourn, APRN
- Family Nurse Practitioner
- Kenai, AK
- NPI 1992116958
-
Shana Mickenham, LPC, CDCS, BHP
- Mental Health Counselor
- Kenai, AK
- NPI 1972089738
-
Wayne Russell Millar, D.D.S.
- General Practice Dentistry
- Kailua, HI
- NPI 1821172594
-
Zhinga Morris
- Pediatric Nurse Practitioner
- Rockville, MD
- NPI 1184390619
-
Timothy A Peterson, MD
- Addiction Medicine (Preventive Medicine) Physician
- Grand Forks, ND
- NPI 1134211568
-
David Andrew Plaisance, FNP-C
- Family Nurse Practitioner
- Baton Rouge, LA
- NPI 1902325699
-
Shiela Dianne Riley, ARNP
- Family Nurse Practitioner
- Kenai, AK
- NPI 1013975523
-
Cathryn Sanders, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Grand Forks, ND
- NPI 1477441186
-
David Seramur, DPT
- Physical Therapist
- Kenai, AK
- NPI 1437566635
-
Kimberly Shamakian
- Psychiatric/Mental Health Nurse Practitioner
- Grand Forks, ND
- NPI 1871325563
-
Deonna K Spies, APRN, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Grand Forks, ND
- NPI 1528810496
-
Stacy Stewart
- Occupational Therapist
- Kenai, AK
- NPI 1760828446
-
Rebecca Strong, LCSW
- Clinical Social Worker
- Kenai, AK
- NPI 1356990055
-
Dolores I Van Bourgondien, ANP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Grand Forks, ND
- NPI 1457788390
-
Craig Timothy Ward, M.A.
- Marriage & Family Therapist
- Kenai, AK
- NPI 1043435118
-
Curtis Judson Warren, PT, DPT.
- Physical Medicine & Rehabilitation Physician
- Kenai, AK
- NPI 1427623768
-
Rebecca G Warren, PT, DPT
- Physical Therapist
- Kenai, AK
- NPI 1356910939
-
Chrystal Rose Wright, MSW
- Clinical Social Worker
- Kenai, AK
- NPI 1821296526
-
Kimi Hmar Zook, M.D.
- Internal Medicine Physician
- Kenai, AK
- NPI 1255489852
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.